Αρχειοθήκη ιστολογίου

Τετάρτη 14 Ιουλίου 2021

Outcomes of Robotic Partial Excision of the Levator Ani Muscle for Locally Advanced Low Rectal Cancer Invading the Ipsilateral Pelvic Floor at the Anorectal Ring Level

xlomafota13 shared this article with you from Inoreader

Abstract

Purpose

The purpose of this study is to evaluate partial excision of the levator ani muscle (PELM) enables preservation of anal sphincter function although levator ani muscle (LAM) was invaded.

Methods

Functional outcomes and oncologic outcomes of 23 consecutive patients who underwent robotic PELM for low rectal cancer at the anorectal ring level invading or abutting the ipsilateral LAM are analyzed.

Results

Secured resection margins were achieved, especially for the circumferential resection margin. During a median follow-up of 44 months, the 3-year local recurrence rate was 14.4%. Among patients who underwent diverting ileostomy closure, mean Memorial Sloan Kettering Cancer Center Bowel Function Instrument and Wexner scores were 68.3±11.9 and 10.7±5.3, respectively, at 1 year after closure.

Conclusion

PELM is a sphincter-preserving alternative to APR or extralevator APR for low rectal cancer invading the ipsilateral LAM at the level of the anorectal ring.

This article is protected by copyright. All rights reserved.

View on the web

Δεν υπάρχουν σχόλια:

Δημοσίευση σχολίου

Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com,

Αναζήτηση αυτού του ιστολογίου

! # Ola via Alexandros G.Sfakianakis on Inoreader